| NPI | 1992158562 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | GOLDWYN B FOGGIE CEO 708-325-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-08-08 |